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Smoking, obesity, gun violence, and teenage pregnancy are just a few of the health problems that are concentrated among the most vulnerable members of US society: the poor and less educated, as well as disadvantaged groups such as those with mental illness and substance use disorders and the homeless, incarcerated, and LGBTQ+ community

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the probability that self-reported tobacco use will be positive when the cotinine results are positive) and specificity (i.e

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